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Nebraska rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $10.97 / $10.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $10.97 / $32.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $7.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $12.81 / $12.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $14.03 / $14.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $14.58 / $22.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $13.34 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.61 / $12.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.03 / $14.53 / $18.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $16.57 / $28.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.61 / $8.86